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Upper GI endoscopy with biopsy at M Health Fairview Ridges Hospital. CPT 43239.

What M Health Fairview Ridges Hospital publishes for this service, straight from its standard-charges file, last updated February 6, 2026.

Outpatient / ER

$672cash price (self-pay)
$2,083list price
$92.32–$3,500range insurers pay
Insurance planNegotiated rate
Blue Cross of Minnesota | PMAP$659
Health Partners | Medicare Cost$802
Health Partners | PMAP$816
Medica | Managed Medicaid/AccessAbility$829
Itasca Medical Care | Managed Medicaid$874
Primewest | Managed Medicaid$874
South Country Health Alliance | PMAP$874
Itasca Medical Care | Medicare Advantage/MSHO$912
Primewest | MSHO$912
Sanford Health Plan | Medicare Advantage$912
Security Health Plan | Medicare Advantage$912
South Country Health Alliance | Medicare Advantage$912
UCare | Medicare Advantage/MSHO$926
Hennepin Health | PMAP$944
Blue Cross of Minnesota | Medicare Advantage$949
UCare | PMAP$949
Health Partners | Medicare Advantage$967
Medica | Medicare Advantage Non-SNP$967
Medica | MSHO/Medicare Advantage SNP$1,169
Sanford Health Plan | Commercial$1,227
America's PPO | EZCare$1,250
America's PPO | Health EZ$1,250
America's PPO | Commercial$1,500
Blue Cross of Minnesota | Aware Federal$1,559
Security Health Plan | Commercial$1,562
Blue Cross of Minnesota | Aware/Blue Plus$1,587
UCare | Individual and Family with M Health Fairview$1,622
First Health | Commercial$1,708
MultiPlan | Commercial$1,771
Private Healthcare Systems | Commercial$1,771

Inpatient

$827cash price (self-pay)
$2,083list price
$1,013–$1,879range insurers pay
Insurance planNegotiated rate
America's PPO | EZCare$1,085
Sanford Health Plan | Commercial$1,227
America's PPO | Health EZ$1,229
America's PPO | Commercial$1,331
Security Health Plan | Commercial$1,562
First Health | Commercial$1,708
MultiPlan | Commercial$1,771
Private Healthcare Systems | Commercial$1,771
Wisconsin Physician Services | Commercial$1,875
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All common services at M Health Fairview Ridges Hospital